| NPI | 1578098760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 098863) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6365) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2019-11-08 |